In trauma and orthopedic surgery, the precise identification and repositioning of fractures and the accurate placement of implants is of highest importance. In many cases, common 2D projection does not offer enough information for precise control, which may result in painful post-traumatic complications for the patient and in the need for second interventions.

With its capability of generating CT-like slices and even 3D volumes in real time, Arcadis Orbic 3D provides the ultimate answer to even most delicate placement tasks, reduces the rate of second interventions, and revolutionizes the entire workflow. All processes and results can now be checked during the intervention, and the physician can always react directly. At the same time, x-ray exposure for both patient and staff is considerably reduced.

Max Heiland, MD, DMD, PhD, Director of the Oral and Maxillofacial Surgery Department at the Clinic

Bremerhaven – Reinikenheide, Germany

„The intraoperative use of 3D C-arm-based imaging, especially in the following circumstances, is of enormous value:

after open reduction of midfacial fractures, since not all fracture sites are exposed and controlled by direct vision;

after open reduction of mandibular fractures, because the lingual cortex is generally not explored due to the danger of an increased gap after osteosynthesis;

after complex bony reconstructions (e.g., microsurgical tissue transfer) with patients that are transferred to the ICU postoperatively and not available for conventional radiographs;

children with different indications for preoperative CT scans, which usually require sedation or general anesthesia in the radiology department, may now be substituted with intraoperative scans immediately before surgery;

handicapped or demented patients with obvious indications for surgical treatment in general anesthesia (e.g., dental surgery), with whom sufficient preoperative radiographs are not possible.”

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